Rheumatology

Question 1

Oral ulcers, gential ulcers and anterior uveitis =

Answer 1

Bechet’s disease

Question 2

What features of Raynauds point towards a primary rather than secondary diagnosis?

Answer 2

Onset < 40 years
Bilateral symptoms

Question 3

Which complement levels are low in active disease SLE?

Answer 3

C3 and 4

Question 4

Vasculitis causing puleless peripheries?

Answer 4

Takayasu’s

Question 5

Positive serology in Churg-Strauss syndrome?

Answer 5

p-ANCA

Question 6

Positive serology in Wegner’s granulomastisis?

Answer 6

c-ANCA

Question 7

Presentation of psoriatic arthritis compared to rheumatoid?

Answer 7

Psoriatic is asymmetrical

Question 8

What is required for management following a diagnosis of dermatomyositis?

Answer 8

CT CAP (commonly a paraneoplastic phenomenon)

Question 9

XR in RA?

Answer 9

Peri-articular erosions

Question 10

What type of hypersensitivity reaction is SLE?

Answer 10

Type 3

Question 11

Poor prognositc factor in RA?

Answer 11

Positive anti-CCP antibodies

Question 12

Criteria for anti-TNF drug in ank spond?

Answer 12

Tried 2 NSAIDS
Meet criteria for active disease on 2 occasions, 12 weeks apart

Question 13

Clinical findings in Ank Spond?

Answer 13

Reduced chest expansion, reduced lateral flexion and reduced forward flexion (Schober’s test)

Question 14

Management of And Spond if first line (NSAIDs) have not been successful?

Answer 14

TNF-alpha blocker (ertanercept)
DMARDS are of no benefit in AS

Question 15

Most common neuro manifestation of Sarcoidosis?

Answer 15

Facial nerve palsy
Due to bilateral parotid gland enlargement

Question 16

Management of renal disease in scleroderma?

Answer 16

ACEi

Question 17

GCA eye involvement?

Answer 17

Anterior ischaemic optic neuropathy
Fundoscopy: swollen, pale disc with blurred margins